Cardiac Arrest Caused by Malignant Arrhythmia in Patients in Early Stage after Valve Replacement

Objective To investigate the related problems in the emergency treatment of cardiac arrest in patients with early cardiac arrhythmias after valve replacement, and to provide reference for clinical practice.Methods 35 cases of cardiac arrest induced by early malignant ventricular arrhythmia after heart valve replacement in our department from January 2013 to January 2015 were selected as A group, 35 cases of cardiac arrest induced by early malignant ventricular arrhythmia after heart valve replacement in February 2015 to February 2017 were selected as the B group. In the study, treatment and nursing data of patients in A group were retrospectively analyzed, the nursing measures were carefully analyzed, and the clinical experience and shortcomings were summarized, the nursing process, quality standard and professional training for the cardiac arrest patients induced by malignant arrhythmia were reanalyzed, and formulated a standard, normal, scientific and effective management system. Then we applied the new management system in B group. We compared the sinus rhythm recovery time, the autonomous blood pressure recovery time, the autonomous breathing recovery time, the cases of successful rescue, the chest compression time, the defibrillation frequency, the types of used antiarrhythmic drug, the cases of bedside thoracotomy, the cases of using temporary pacemaker, the mechanical ventilation time and the prognosis of the patients. Results The sinus rhythm recovery time, the autonomous blood pressure recovery time, the autonomous breathing recovery time, the chest compression time, and the mechanical ventilation time of patients in B group were lower than the A group, the preliminary rescue success rate, the success rate of rescue in B group were higher than the A group, the difference was statistically significant (P < 0.05) . Conclusions For early rescue of cardiac arrest caused by malignant arrhythmia after valve replacement, the key is to strengthen the observation, early detect, give timely defibrillation, regulate the use of intravenous catheters and temporary pacemaker antiarrhythmic drugs and pay attention to use the central venous catheter and the temporary pacemaker.